Contract Pharmacy Details

WALGREEN CO.
CHC29004-01 HOWARD BROWN HEALTH CENTER

Covered Entity Details

Entity Name

HOWARD BROWN HEALTH CENTER

Subdivision Name

Howard Brown Halsted

Type

HRSA-Funded Health Center

340B ID

CHC29004-01

Entity Address

3245 N Halsted St
Chicago, IL 60657-0419

Grant Number

H80CS29004

Participating Start Date

7/1/2016

Last Recertification Date

2/3/2023

Entity Termination Date

1/1/2024

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #21447
3513 N HALSTED ST
CHICAGO, IL 60657

Pharmacy Comments

Contract Details

Approval Date

10/11/2022

Contract Begin Date

1/1/2023

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2024
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Anthony Scott Armstrong, Vice President of Strategy and Business Development
(407) 765-5579

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

10/11/2022

340B Drug Pricing Program Database